Organization
BOSTON OUT-PATIENT SURGICAL SUITES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
840 WINTER ST, 3RD FLOOR, WALTHAM, MA 02451-1433
(781) 895-4901
(781) 895-4902
Mailing address
1A BURTON HILLS BLVD # L&C, NASHVILLE, TN 37215-6187
(615) 240-3820
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00189251
RAILROAD
MA
Enumeration date
01/30/2006
Last updated
09/12/2022
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